Heartbeats Magazine - ISLAND EARNS MEDICAL FOUR-STAR RATING AGAIN! - Island Hospital
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Fall 2019 Heartbeats Magazine ISLAND EARNS MEDICAL FOUR-STAR RATING AGAIN! 3 Physicians Join Fma – p. 5 • 2 Surgeons Join Island – p. 6
Commissioner Message Selection of IH Chief Executive Officer near By Warren Tessler, President Island Hospital Board of Commissioners O ver the past months, the Island Hospital Commissioners have worked with COORS Leadership Capital to find the next Chief Executive Officer for Island Hospital. As we go to press with this issue of Heartbeats Magazine, we have held interviews with a select few of the original 251 applicants and have held discus- sions with our final two candidates. We expect to have a decision, and contract in place, by the time you’ve received this Robert P. Rieger MD steps issue. COORS has facilitated many successful searches for public-hospital into role as Chief of Staff districts and understands how critical the local hospital CEO is to our close-knit community. The selected candidate must be a good fit with T his fall, Robert Rieger MD took on the position as Chief of Staff at Island Hospital (IH). With 26 years of experience at IH and in practice at Island Family Physicians, Dr. Rieger looks forward to repre- the hospital’s culture, a strong communicator and an experienced leader. COORS has done an excellent job in working to understand Island senting the staff and leading the Medical Executive Committee. Every two years the IH Medical Staff elects a chief to serve as a liai- Hospital and the communities we serve, bringing us an impressive group son between the medical staff and hospital administration. The of professionals from which to select. Medical Staff is made up of more than 180 physicians and allied Over the past four months, our interim CEO Elise Cutter has lead the health professionals across a broad range of specialties. hospital in a most admirable way. This is no surprise to the As Chief of Staff, Dr. Rieger will lead the Medical Executive Commissioners who work with her regularly. We were certain that she Committee as it reviews policy and medical staff activities. would keep Island Hospital services, projects and plans moving forward, “My goal as Chief of Staff is to represent the Medical Staff in a pro- even bringing some new strategies and tactics to improve our services fessional way that supports all the specialties in the hospital,” says Dr. and bottom line. I have often been asked – from people inside and out- Rieger. “I also hope to keep the focus on the patient experience, side the organization – if she applied for the permanent position. She did emphasizing the importance of the relationships between the not, but has displayed her exceptional leadership and visionary capabili- patient and the provider. Quality in medicine, to me, is more than a ties. On behalf of the Board, I want to commend Elise for her willingness metric–it’s about the care experience.” “It’s really an honor to be in a position of leadership at Island to take on this added challenge, and the thoughtfulness she puts into Hospital. I want to be a voice of reason in the vortex of change. As we each decision. Once the new CEO is in place, she will resume her role as face new challenges, I hope with my 26 years of experience of work- Chief Financial Officer. ing in this hospital I can bring some perspective to the table as we In addition, I would like to commend Interim Chief Operating move forward.” Officer Ann Raish and Interim Chief Nursing Officer Janine Wentworth Dr. Rieger observed that one of the major challenges in healthcare RN, MN, for stepping up so quickly and providing significant insight right now is the constant change that providers and medical facilities and perspective to address ongoing issues. face. Changes in healthcare delivery are driven by the growth of data, On behalf of the Commissioners, we appreciate the support we’ve government policies, and insurance companies’ models. “I believe gotten from the community as we go through this process. Changing that the Medical Staff’s responsibility is to evaluate the changes we’re CEOs is difficult, but part of the natural lifecycle of any organization. I being asked to make and to make sure that they improve the health applaud our Medical Staff, executive leadership, management team and of the community—that they aren’t just change for change’s sake. It staff for their focus on providing the highest-quality patient care and see CHIEF continued on page 23 customer service. I especially want to commend our patient-care staff – physicians, advance-care professionals, nurses, therapists, assistants and ON THE Cover: support staff – for maintaining a Four-Star rating by the Center for Island Hospital has achieved a Four-Star Rating by Medicare as Medicare Services. Medicare standards are rigorous, and closely moni- a result of a caring and highly professional staff. This is reflected tored and measured to ensure appropriate care. in the multidisciplinary team that performs inpatient “rounding” As Island Hospital Commissioners, we are charged with representing – a daily sharing of information and discussion regarding each Skagit County Public Hospital District No. 2 (Island Hospital) residents. Acute Care and Intensive Care patient – to ensure the best- I encourage you to share your comments and ideas. Please contact us at quality care is provided. On duty were (from left) TeamHealth (360) 299-1327 or commissioners@islandhospital.org. We want to hear Hospitalist Kimberly Bell MD, Care Management Social Worker from you. Karla Smith MSW, Acute Care Nurse Kessa Holms RN and Physi- cal Therapy Assistant Gesila Driver PTA. 2 | Heartbeats | Fall 2019
As I See It... By Elise Cutter, IH Interim Chief Executive Officer Our Mission: We will deliver quality, compassionate and personalized healthcare to the Realigning, expanding, recruiting, building for greater access communities we serve. I Island Hospital t’s an exciting time here at Island Hospital as we mary care, psychiatry, sleep (Skagit County Public Hospital District No. 2) make progress with major facilities improve- medicine, wound care, gen- is governed by a Board of Commissioners. Correspondence to commissioners can be sent to: ments, enjoy great success with our physician- eral surgery and obstetrics/ Commissioners recruitment efforts and hire a new Chief Executive gynecology. You will see some of these new physi- c/o Administration Officer. cians highlighted in this addition of Heartbeats. 1211 24th St. We have been focused on several major infra- Island Hospital will continue our recruitment efforts Anacortes, WA 98221-2590 structure projects at Island Hospital over the past few in primary care and specialty areas over the next year Position 1 months. Thanks to the taxpayers of our District, to continue to improve access and establish new ser- Jan Iversen Island Hospital is in the process of replacing the roof vice lines in order to meet the needs of our commu- (Secretary) on the original portions of the hospital. This project nity. Position 2 also includes updates to our HVAC system and I would like to take this opportunity to thank the Warren Tessler (President) upgrades to our wireless network. Like any major Board, Medical Staff and employees of Island Position 3 infrastructure project it has come with its challenges Hospital for all they do to ensure we deliver quality Paul Maughan PhD and we appreciate the community’s patience during care to our patients. As the Interim CEO I have had Position 4 this time. We anticipate completion by March 2020. the pleasure of reading countless letters and emails Lynne M. Lang PhD Island Hospital has also invested in upgrades in praising the compassionate care that is delivered. I Position 5 technology. One example is the implementation of an have also had the opportunity to see the quick and A.J. "Chip" Bogosian MD automated drug dispensing system called Pyxis. This thorough response from our leadership team and system is designed to increase patient safety and staff when we receive a letter from a patient or their Heartbeats is published by the Community Relations/ improve pharmacy inventory control. The system family that identifies areas of improvement. I am Education Department. went live at the end of July. continually impressed with the dedication and pas- You may have noticed recent facility upgrades at sion of those that work at Island Hospital and feel Comments or suggestions to: (360) 299-1310 Anacortes Family Medicine (AFM) and Fidalgo privileged to be part of this team! Medical Associates (FMA). Earlier in the year we I would also like to thank our patients for choos- Community Relations/ Education expanded The Walk-In Clinic at AFM, including a ing Island Hospital and Clinics for their healthcare Director separate waiting area, and relocated our Obstetrics & needs. It is our Promise to you that your best health- Dennis Richards Gynecology at FMA into adjacent, dedicated space. care experience begins at Island Hospital. Where we Community RELATIONS COORDINATOR Barb LeDuc These moves have allowed us to add new primary always place your emotional and medical needs first care providers which has increased access to care for and foremost. Community Education Coordinator Kelsey Jenison our community. I encourage your comments, concerns and sug- Along with the facilities upgrades this year, Island gestions. Feel free to contact me directly at ecutter@ Health Resources Coordinator Julie McKee Hospital has worked to improve access to care for our islandhospital.org or at 360-299-1327. Graphics/Design community with the addition of new providers. In Teresa L. Pierzchala the past twelve (12) months we have recruited seven- Writer teen (17) new providers. Their specialties include pri- Emily Hylton Do you need a primary healthcare provider? PHOTOGRAPHY Lisa Kuhlein I Fidalgo Medical Associates: sland Hospital primary-care clinics Anacortes Family Other Anacortes-based primary-care clinics are also • James Abbey MD, Internal Our Promise Medicine and Fidalgo Medical Associates have openings for new Medicine accepting new patients: • Sharon Brown AGPCNP-BC, Family patients with the providers listed • ELMM Clinic: 360-399-7732 Medicine below. To make an appointment, • Island Family Physicians: 360-293- please call 360-293-3101. • JoAnn Eastman ARNP, Family 9813 Your best healthcare Medicine • Island Internal Medicine: 360-293- experience begins at • Susan Jordan PA-C, Family Anacortes Family Medicine: Medicine 4343 Island Hospital. • Brandon Greene MD, Pediatrics • Tari Roche DO, Family Medicine If you have questions or want We always place • Les Richards MD, Pediatrics help selecting a primary-healthcare your emotional provider, please contact the Health and medical needs Resource Center at Island Hospital, first and foremost. 360-299-1397. Fall 2019 | Heartbeats | 3
Island Hospital earns 4 stars from CMS I sland is one of only 14 Washington hospitals ranked a Four-Star Hospital by Medicare, based on patients’ survey responses and other publicly reported on the Hospital Compare web- site (www.medicare.gov). The data is called HCAHPS (Hospital Consumer Assessment of “Earning this four-star ranking is a result of our efforts to provide the best quality care,” said Interim CEO Elise Cutter. “This honor is shared by data. The overall rankings summarize quality Healthcare Providers and Systems) that cover a each and every Island Hospital employee and measures and compare results of hospitals across wide range of patient responses. Measures used physician, as well as our Board of Commissioners.” the U.S. to determine ranking include: “We can always improve,” said Denise Jones • Mortality rates The IH Promise RN, IH Chief Patient Care Executive, “but achiev- • Safety of care Your best healthcare experience begins ing this high ranking confirms the value of our • Readmissions at Island Hospital. We always place your efforts to continually provide the best quality • Patient experience emotional and medical needs first and fore- patient care.” • Effectiveness of care most. The Centers for Medicare & Medicaid Services • Timeliness of care Island Hospital provides a wide range (CMS) use data collected for quality measures • Efficient use of medical imaging of services for our community. As a small hospi- tal, we understand that patients often need to obtain more-advanced services outside our area. Mary Beth Robinson MS RD/LD CDE leads Island Hospital providers will coordinate exactly what you need as they have established relation- new Diabetes Education Program at IH ships with the best specialists for any medical need. Your provider can then monitor the out-of- town care and keep you close to home for your M ary Beth Robinson MS RD/LD CDE is taking on the role of Diabetes Care and Education Coordinator to lead a new diabe- tes-education program at Island Hospital (IH) that begins in October. The rehabilitation and recovery and any other servic- es you may need. Diabetes Self-Management Education program teaches patients to man- age their diabetes by providing tools and support to stay healthy. Before attending sessions, patients must have a referral from their primary-care physician and be evaluated by the diabetes educator. The program follows a design set forth by the American Association of Expanded hours Diabetes Educators (AADE). Under supervision of a certified diabetes educator, patients learn and practice a seven-point framework for personal diabetes care that includes healthy eating, make it easier to get physical activity, monitoring blood glucose, taking medication, problem solving, healthy cop- ing and reducing risks. your mammogram Patients who join the program work with Robinson and agree upon a personal plan based on their individual assessed needs and concerns. They attend group lectures, interactive ses- sions and one-on-one meetings with the educator that develop healthy habits and provide W e know you are busy and some- times just can’t get to the hospital for an appointment during your work day. skills for effectively managing their own diabetes. After completion, patients receive continu- That’s why Island Hospital has extended hours ing support as needed. for mammography appointments – Tuesday More than a year in development, IH’s Diabetes Education Program meets strict accredita- and Thursday evenings until 8 p.m. and tion standards set by Centers for Medicare & Medicaid Services, the American Association of Saturdays, Diabetes Educators and the American Diabetes Association. With support from Island 8 a.m. to 4:30 p.m. Hospital Foundation (IHF) and the Anacortes Lions Club, the program began accepting One in eight women will develop breast patients by referral only in October. cancer in their lifetime and mammograms are Robinson has been a clinical dietitian at IH since January 2017 and has worked toward the most effective method for early detection. establishing a diabetes-education program since she joined the staff. She is a certified diabetes Island Hospital recommends women age 40 educator and holds a Master’s degree in nutritional science from the University of Oklahoma and older should begin annual mammograms and a Bachelor’s degree in dietetics from Northeastern State University in Tahlequah, OK. A and our Diagnostic Imaging Department diabetes educator since 2011, Robinson is certified in adult weight management and has a offers the latest 3D technology. background in fitness training. Three things you should know about 3D Though her specialty is in diabetes education, Robinson says that her passion is in disease mammography prevention. She loves to teach about maintaining an active lifestyle and making food choices • Easier to find smaller cancers sooner. that go beyond dieting. She enjoys helping patients achieve wellness and gain lifelong healthy • Better for women with dense breast tis- practices through education, sustainable nutrition, and exercise. sue. “I am mindful of the amount of dedication, perseverance, focus, and time it takes to reach • Reduces unnecessary callbacks. our health and fitness goals in between work, leisure and life,” says Robinson. “My love for With Island Hospital’s extended evening health and wellness goes beyond the scope of fitness and nutrition. It is about creating an ave- and Saturday hours, there’s no excuses…it’s nue that individuals can grasp hold of and form into a lifestyle they will enjoy.” time to make your health a priority! Call 360- Anyone who feels that the Diabetes Education Program at Island Hospital would benefit 299-1315 to schedule your mammogram them should speak with their provider about eligibility and referral. today. 4 | Heartbeats | Fall 2019
People at Island Fidalgo Medical Associates welcomes three new doctors W ith a focus on family medicine, internal medicine and women’s health, Fidalgo Medical Associates (FMA) adds three new providers to its staff this fall. Kelly Fellows MD, Ob/Gyn Jon Peterson DO, Family Medicine Dr. Kelly Fellows joins FMA to practice obstet- In December, Dr. Peterson will practice family rics and gynecology. She received her Medical medicine at FMA. Dr. Peterson most recently degree from the University of Minnesota School of worked as a physician at McChord Air Force Base Medicine and completed a residency in obstetrics Family Medicine Clinic and at the Jay Clinic at and gynecology at Stamford Hospital in Stamford, Madigan Army Medical Center at Joint Base CT. She holds Bachelor’s degrees in biology and Lewis-McChord in Washington. He’s been an history from the University of Washington. urgent-care physician at the Shelton Family Medicine Walk-In Clinic During her residency, Dr. Fellows received the Senior Resident in Shelton, WA, and worked at clinics in Lacey, Olympia, and Teaching Award. Twice her peers elected her to the Gold Humanism Hoodsport, WA. Honor Society, once as a medical student and once as a resident. She is As an active-duty Air Force Physician from 1992-96, Dr. Peterson the recipient of several awards for clinical performance and research. served in Croatia during Operation Provide Promise in 1995. “I think it’s really important to treat the whole person,” says Dr. With a passion for sports, Dr. Peterson has been the team physician Fellows. “I like to get to know my patients and learn about their lives for Capital High School in Olympia, for St. Martin’s University in and environment, to treat them in context.” She enjoys working collab- Lacey and for the Black Hills High School volleyball team in oratively with patients, especially women, and helping to empower Tumwater, WA. “Taking care of athletes is very rewarding,” he says. them with knowledge of their health. “They want to be better yesterday!” After growing up in Lake Stevens, WA, she is thrilled to return to Dr. Peterson earned his Medical degree from the Texas College of the area. She looks forward to exploring Anacortes with her husband, Osteopathic Medicine, in Fort Worth, TX, and he completed a residen- Richard, and 8-month-old son, Jack. cy in family practice at the University of Massachusetts Medical Center in Worcester, MA. He has Bachelor’s degrees in psychology and pre- medicine from the University of Washington, where he also rowed for Alan Craig Thom DO, Family Medicine the men’s crew team from 1980-1984. Dr. Alan Craig Thom comes to FMA from “My approach to medicine incorporates a focus on prevention and Oregon, where he most recently practiced family responsibility for good health,” says Dr. Peterson. “I help identify risk medicine and osteopathic manipulative treatment factors and encourage patients to choose personal wellness.” (OMT) at Adventist Health Primary Care Clinic in Dr. Peterson and his wife Kara are both northwest natives. After liv- Happy Valley, OR. ing in Olympia for the past 23 years, they look forward to joining the After earning a Bachelor’s degree from Reed Anacortes community. They intend to explore the San Juan Islands College in Portland, OR, he taught at the Portland Waldorf School, the and the local area on their own and, occasionally, with their two adult Shining Mountain Waldorf School in Boulder, CO, and at the children, Brenna and Karl. Humanus-Haus in Berne, Switzerland. Drs. Fellows, Thom and Peterson (starting in December) are After 20 years as a teacher, Dr. Thom returned to school and earned accepting new patients. Fidalgo Medical Associates is located in the his Medical degree from Western University of Health Sciences in Island Medical Center at 1213 24th Street, Suite 100, in Anacortes. For Pomona, CA. He completed a residency in family medicine and osteo- appointments, call 360-293-3101. pathic manipulative treatment at Skagit Valley Hospital, in Mount Vernon, WA. “Accepting my patients as they are and helping them find the next step toward wellbeing is my goal,” says Dr. Thom about his approach to patient care. With a strong interest in personalized primary care, Dr. Thom uti- lizes evidence-based medicine and incorporates treatments such as OPENY osteopathic manipulation, dry needling and integrative therapies. He is EVER ! experienced in providing care for all ages. Dr. Thom and his wife, Pat, are excited to move to Anacortes. They DAY Sunday 9am - 5pm, Holidays 9am - 3pm feel connected already, having passed through frequently on the way to Camp Orkila with their three children and enjoying three years at Skagit Valley Hospital in residency. Fall 2019 | Heartbeats | 5
People at Island Island Surgeons Keri E. Weigle MD Dr. Weigle comes to IS Providing exceptional I sland Surgeons (IS) specializes in gener- al, thoracic, breast and laparoscopic sur- gery, providing services to Anacortes, west from Santa Rosa, CA, where she has been pro- viding general surgery surgical services Compassionate care meeting patients’ Skagit County, north Whidbey Island and the and endoscopy proce- personal needs San Juan Islands. The clinic prioritizes com- dures to patients at Santa Island Surgeons is comprised of three out- passionate care that meets patients’ needs, and Rosa Memorial Hospital and Petaluma Valley standing surgeons specializing in general, tho- it strives to maintain excellent patient rela- Hospital since 2016. racic, breast and laparoscopic-surgery services. The clinic has been a vital part of healthcare tions and surgical services throughout its She received a Bachelor’s degree in serving west Skagit County, Whidbey Island practice. IS recently welcomed two new sur- Sociology from Covenant College in Lookout and the San Juan Islands for more than 40 geons to its staff, Kieran F. Melody MD and Mountain, GA, and holds a Medical Degree years. Keri E. Weigle MD. from the University of Maryland School of The clinic has earned a reputation for Medicine in Baltimore. After finishing a resi- excellent service, exemplary patient relations Kieran F. Melody MD dency in general surgery in 2014 at the and commitment to the health of our commu- Dr. Melody holds a Virginia Commonwealth University Health nity. IS joined the Island Hospital organization Bachelor’s degree in System in Richmond, VA, she completed a in 2009, a move deemed necessary to contin- Psychology from the fellowship in multi-organ transplantation and ue its focus on providing personal service to University of California, each and every patient and their family. hepatobiliary surgery at the David Geffen Berkeley, and he earned IS physicians treat a range of surgical needs UCLA Medical Center in Los Angeles, CA. related to the colon, rectum, breast, thyroid, his Medical Degree in Calling herself extremely meticulous, Dr. hernias, skin and more. In addition, the sur- 2013 from the University of California, Davis. Weigle constantly works on ways to minimize geons offer port-a-cath placement and remov- He completed surgical residency at Albany the invasiveness and discomfort associated al and, for some patients, mesh-free hernia Medical College in Albany, NY. with surgery while maintaining high quality surgery. With training heavily focused on laparo- outcomes. She employs techniques, including In addition to its three general surgeons, IS scopic minimally invasive surgery, Dr. Melody laparoscopic surgery, that can be tailored to has Rodger Althoff MD, a board-certified sur- performs a wide variety of general surgery the individual patient’s medical needs and geon, dedicated to performing colonoscopies. procedures for benign and malignant diseases personal preferences to reduce pain and Island Surgeons is located at 1213 24th including breast, thyroid, parathyroid, intesti- Street, Suite 700, Anacortes. For more informa- decrease recovery time. nal, and hernia repair. tion, call 360-293-5142 or visit www.islandhos- “One of the greatest compliments I receive pital.org/islandsurgeons. “I strive to provide the highest quality sur- from my patients is that they know I listen to gical care that is compassionate, appropriate them and care about them,” says Dr. Weigle. surgical issue, and to understand the medical and effective for the treatment of health prob- “It’s a priority for me to understand the goals and procedural options for addressing it. It is lems and the promotion of good health. I and needs of each individual as we decide on my goal to earn my patients’ confidence so place the welfare and the rights of my patients a surgical approach together. I enjoy helping that we can be partners in achieving a great above all else,” said Dr. Melody. each person in my care to understand their outcome.” Katrina Gardner MD joins Island Family Physicians D r. Katrina Gardner has joined the staff at Island Family Physicians (IFP). Dr. Gardner came to Anacortes from eastern Washington, where she prac- teer in Nepal, teaching English and health in public schools. She also worked with UNICEF to restructure water sanitation training materials so that local women could benefit from the presentations, and she led HIV/ ticed family medicine with Providence Northeast AIDS awareness campaigns for communities. Medical Group in Colville, WA. Dr. Gardner enjoys obstetrics and pediatrics in her practice. She’s an Dr. Gardner holds a Bachelor’s degree in advocate for early literacy and is helping to launch the Reach Out and Read Neuroscience from Smith College in Northampton, program at IFP. This program incorporates books into well-child exams to MA. She earned her Doctor of Medicine degree from help increase literacy by age five. the University of North Dakota School of Medicine and A recipient of the MaryAnn O’Hara Physician Leadership Award for Health Sciences and completed the rural-training track residency in Family breastfeeding education, Dr. Gardner developed a breastfeeding curriculum Medicine at Providence Sacred Heart Medical Center in Spokane and Providence Mount Carmel Hospital in Colville, WA. in medical school that was adopted nationwide. She continues to promote She was recognized as Family Physician of the Year 2012 by the lactation support services and training for providers. Northeast Washington Medical Group in Colville, and she received the The daughter of a colon-cancer survivor, Dr. Gardner is a strong propo- Bristol Myers Squib Award for Excellence in Graduate Medical Education in nent of open and easy access to colonoscopies. She pursued endoscopy in 2012, a national award from the American Academy of Family Physicians. her training and values the ability to provide this service. “My father was Prior to her medical training, Dr. Gardner served as a Peace Corps volun- see GARDNER continued on page 22 6 | Heartbeats | Fall 2019
People at Island Bluhm, Barker achieve annual awards which exemplified Bluhm’s leadership. His work on the Medical Information North Sound-Network, InReach (outreach program for I sland Hospital presents the annual Employee of the Year and Management Leadership awards at the employee recognition dinner each year. However, with this event taking place too late (mid- Laboratory Services), and other interfaces were all well-managed and helped elevate the exceptional patient care delivered by Island Hospital’s direct caregivers. May) to publish in the Spring Heartbeats Magazine, the awardees are recognized in this issue. Connie Barker, 2018 Employee of the Year If you have ever been to The Walk-In Clinic in Tom Bluhm, 2018 Leadership Management Award the evening, on a weekend, or on a holiday . . . you Tom Bluhm’s leadership of the Information have had the honor of meeting Patient Account Systems (IS) Department through the entirety of Coordinator Constance “Connie” Barker. 2018 has been nothing short of outstanding. His Hired in October 2014, Connie continues daily leadership of his highly technical staff and manage- to express her enthusiasm and appreciation for ment of the organization’s employees affected by being an employee of Island Hospital. Barker has the implementation of a state-of-the-art electronic taken her role of being the face of our organization seriously each shift medical-record system (EMR) demonstrated a she works. Quickly, Barker began to exude the Island Hospital Promise high level of competency and tireless commitment to excellence in with every interaction she has with a patient, their family members, installing a complex software/hardware product into an equally com- her coworkers and anyone else she has the opportunity to interact plex hospital environment. with. His calm demeanor and even-handedness were instrumental in Barker believes that everyone benefits from hearing positive com- keeping the Core Team Leads (CTL) on track and supported, even ments, and she goes out of her way to incorporate positive statements when situations became tense and deadlines threatened. Bluhm’s in every conversation she has. Barker consistently thanks service mem- adherence to timelines and milestones and his organizational skills bers for their contributions to our country and quite often lets some- resulted in an extraordinarily effective implementation that spanned one know they have a beautiful smile. Barker’s personal goal is to posi- clinical applications and revenue cycle applications. In fact, others tively engage with each person she encounters. external to the organization commented on the incredible level of suc- When she arrived at Island Hospital back in 2014, she had no cess in the implementation as measured against the industry-wide healthcare experience. However, her exceptional customer service and standards. her understanding of the importance of leaving a positive impression It is important to note that, while 2018 was largely consumed with has earned respect from colleagues and customers alike; as well as this extraordinary EMR implementation, it was not the only thing Island Hospital’s Employee of the Year award. Karrie Pike welcomed as Kristen Moore named supervisor of Director of Dietary Services The Headache, Sports & Spine clinics K arrie Pike has joined Island Hospital (IH) as Director of Dietary Services. She will manage the food and beverage program at IH, which encom- K risten Moore has been named Clinic Supervisor at The rently pursuing a Bachelor’s degree in emergency management passes staffing, training and budgeting for the Bistro Headache Clinic and the from the American Public and inpatient food service. Sports & Spine Clinic at University System. Pike holds a Bachelor’s degree in Nutrition and Natural Health Science Island Hospital (IH). Moore “I believe that our from Bastyr University and recently served as the Chief Nutritional Officer brings more than 24 years patients come to us with for Evolving Nutrition, a nutraceutical distributor in Mukilteo, WA. She’s of multispecialty medical their medical issues look- been a dietetic technician at Overlake Hospital in Bellevue, WA, and Food practice experience to her role of ing for a partnership in treatment,” Service Director at Columbia Crest Care and Rehab in Moses Lake, WA. supporting providers and staff to says Moore. “They need to be first Calling herself a “foodie” at heart, Pike says she believes that Hippocrates deliver high-quality care to patients. and foremost treated with dignity had it right when he said, “Let food be thy medicine, and let medicine be Most recently, Moore was lead and respect. It’s my goal to provide thy food.” She looks forward to bringing her passion for healthy eating to medical assistant at the Whidbey a safe environment where they are guests, staff and patients at Island Hospital. “Good nutrition is the founda- Primary Care Clinic in Oak Harbor. In allowed to voice questions and con- tion to overall health and wellness,” says Pike. addition to medical assisting, Moore cerns regarding their illness and In terms of patient care, Pike places great importance on the value of lis- supervised and scheduled shifts for partner with their provider in treat- tening to patients’ requests, opinions and recommendations. “We take the clinic staff. She helped develop poli- ment plans. This type of provider/ patients’ opinions and recommendations seriously and build those into the cy and procedures for the clinic and patient relationship fosters trust changes we are implementing on a daily basis,” she says. “I strive to treat its electronic medical records sys- and respect, allowing for the best each patient as an individual always. I understand that most patients do not tem (EMR), and she served as a staff possible outcomes in care.” feel a sense of control while they are in the hospital. My goal is to give them trainer for the EMR. The Headache Clinic and Sports & as much control over their food as possible, hoping to empower them and Moore is a 1994 graduate of the Spine at Island Hospital are located at increase their nutrition, leading to increased healing and increased wellness Maric College of Medical Careers, in 2511 M Ave., Suite C, in Anacortes. For into the future.” San Marcos, California. She is cur- more information, call 360-299-4929. Fall 2019 | Heartbeats | 7
Jeanne Sandahl RN, BSN, MSN leads Care Management at IH J eanne Sandahl RN, BSN, MSN has taken on a new role at Island Hospital (IH) to oversee Care Management and assure quality of service across departments. In supervis- “I am most looking forward to the opportunity for learn- ing and growth in this new role. I have spent many years at the bedside and on the clinical end of nursing. This role will ing the Care Management Department, Sandahl will manage not only allow me to use my nursing knowledge but learn a two critical elements of care: utilization review and discharge whole new aspect of healthcare,” says Sandahl. planning. Sandahl has more than 20 years of nursing experience, Each patient’s case at the hospital requires careful docu- including roles as Director of Emergency Services at Whidbey mentation. Utilization review ensures that patients’ charts Health Medical Center in Coupeville, WA, and Emergency contain accurate information, notes, and diagnostic test results. These Services Nurse Manager and Chief Emergency Management details support the claims the hospital must make to insurance compa- Coordinator for the North Greenville Campus of the Greenville Health nies. System in Greenville, SC. When it comes time to go home, patients’ cases are reviewed by a Most recently, she has been an Emergency Department nurse at IH discharge nurse and medical social worker to help the patient transi- as well as a Nursing Instructor at Skagit Valley College. Education is tion back to the community, whether that is to home, a skilled nursing not new to Sandahl – she has been a middle-school science teacher facility, a nursing home or behavioral institution. and clinical nurse educator. Sandahl oversees these processes, ensuring the hospital provides Sandahl holds a Master’s degree in Nursing from Walden University quality care to patients throughout their stay. in Minneapolis, MN, and a Bachelor’s degree in Nursing from the In addition to these responsibilities, Sandahl looks forward to work- University of South Carolina at Spartanburg. She also received a ing with medical professionals at IH to develop a new Palliative Care Bachelor’s degree in Natural Resource Management from the Team. She’s grateful to be working with staff across the hospital, using University of Wisconsin at Stevens Point in 1989 before adding a her diverse nursing experience and learning new aspects of healthcare. teaching certificate from Boise State University in 1993. IH welcomes Clinical Dietitian Suzie Dupuis RD Amber Phillips MS RD retires after 32 years A mber Phillips MS, RD, has joined Island Hospital Island Hospital’s Dietary Department makes over 98% of their offerings from scratch in the hospital kitchen. Phillips knows (IH) as its dietitian that healthy eating can speed recovery. She responsible for patient enjoys collaborating with patients while they nutrition and education. are in the hospital so they can continue mak- Phillips holds a ing good choices at home to better manage Master’s degree in nutri- chronic conditions. tion from Bastyr “Hospital stays can be scary and are often University in Kenmore, WA, and a Bachelor’s associated with life-changing events,” says degree in Biology from Metropolitan State Phillips. “I practice active listening when inter- University, St. Paul, MN. She completed a viewing patients and extend kindness while year-long internship at the University of guiding a nutrition plan that will positively Northern Colorado that had her working at impact their health status.” community hospitals and schools in Skagit County and Coos Bay, Oregon. With a keen interest in community educa- Nutrition is an important factor in inpa- tion, Phillips is developing a series of nutri- tient care. In her role, Phillips assesses wheth- tion education classes that will be open to er a patient’s nutrition has been adequate the public. “Nutrition advice can be confusing prior to a hospital stay, then she ensures meals and supplements match that patient’s and sometimes conflicting,” says Phillips. “My role as a dietitian is to follow the latest ▲ Island Hospital Dietitian Suzie Dupuis health conditions. She monitors whether a research and make it easy to understand for patient is eating well during his or her stay my patients and the public.” The first class, RD (left) retired in June after 32 years and educates patients and caregivers on Healthy Eating for the Holidays (see page 15) of exemplary service. Interim Chief strategies to regain and maintain health with kicks off a series of classes based on commu- Executive Officer Elise Cutter recog- food choices. nity interest. nized Dupuis for her many accomplish- ments, including farm-to-healthcare initiative, hospital farm stand, hospital Employee Wellness Committee leader- ship and others. 8 | Heartbeats | Fall 2019
Emergency Department receives donations for new equipment T he Island Hospital (IH) Emergency Department (ED) received several gener- ous donations to purchase new equipment, ing potential complications that can occur dur- ing large-volume resuscitation such as hypother- mia. including a portable ultrasound machine, two The level-1 infusers can quickly infuse level-1 rapid infusers, and 10 specialized gurneys. warmed fluids or blood for patients who have Donors worked closely with Island Hospital lost blood. “This type of advanced equipment is Foundation (IHF) to learn about important needs beneficial to have when we need it,” says Pearson. at the hospital and designated donations to pur- Another donation, also from the Jerry and Jan chase the new equipment. Barto Family, allowed the ED to replace 10 aging An anonymous donor replaced an outdated gurneys with two different types of specialized ultrasound machine with a new portable model. beds. For trauma rooms, the ED purchased two It offers much improved resolution, the ED team’s trauma gurneys that allow providers to take an favorite feature. “We are now able to see details X-ray from below the bed without moving the in images that we were not able to see in the patient. past,” said Kelly Pearson RN, Director of “When moving a patient with unknown inju- Emergency Services & Emergency Preparedness. ries, there is always the risk of further injury. But Providers in the ED receive training and without the X-ray, providers will not know if there become certified to use the new ultrasound and is even an injury. These new gurneys provide us a its features. The advanced ultrasound technology safer way of obtaining images on our trauma helps ED providers make more specific diagno- patients,” says Pearson. ses, and it helps with treatments and medical interventions. It can aid ED providers to place an In addition to the trauma gurneys, the dona- tion allowed the ED to replace eight other older ▲ Kelly Pearson RN, Emergency Services intravenous (IV) or central line, detect an eye models to bring all beds throughout the depart- injury, identify a detached retina, determine ment up to date. These gurneys have scales for & Emergency Preparedness Director, causes of bleeding, and evaluate abscesses, weighing patients, electronics on the handrails stands at new Emergency Department among other procedures. so patients can adjust the head and foot of their ultrasound equipment. A donation from the Jerry and Jan Barto beds, and other capabilities that make examina- Family purchased two level-1 rapid infusion tions more efficient. “More advanced equipment means better devices. With a level-1 rapid infuser, ED providers “Some of our gurneys were so old, the manu- care for community and more specific diagnoses can quickly give patients large volumes of fluids facturers were no longer in business. Our engi- for patients,” said Pearson. “We are incredibly as needed during resuscitation. This type of neering department was struggling to keep the thankful to the generous individuals in our com- infuser heats the fluids prior to infusion, prevent- gurneys in service,” says Pearson. munity for gifting us with this new equipment!” Auxiliary looks ahead to successful 2019-20 By Connie Russell Island Hospital Auxiliary President I ’m thrilled to kick off the new year for Island Hospital Auxiliary (IHA)! My first priority as President is to express a huge “Thank You” to Betty-Anne Ely, our outgoing President, for her many years of Our 2019-20 leadership team includes new and familiar faces, and we’re looking forward to working together this year. • President: Connie Russell devoted service and leadership. Betty-Anne will be stepping down after • Vice President: Betty-Anne Ely five years as President of IHA, but she will still be heavily involved • Secretary: Julie Anderson while serving as the Vice President of our 2019-20 leadership team. • Treasurer: Danette Carroll Under Betty-Anne’s years of leadership, the IHA has continued to • Directors at Large: Joan Simmerman and Patty Koskovich meet its mission “to work collaboratively with Island Hospital leader- ship to raise funds to support, promote and participate in special proj- see AUXILIARY continued on page 22 ects for the benefit of Island Hospital, its patients and our community’s health.” The IHA fundraising efforts that Betty-Anne developed as President will continue to support projects such as Lifeline medical alert system, Vial of Life, purchase of patient overbed tables and other hospital and patient needs. “Betty-Anne’s dedication, tireless energy, and passion for the success of the IH Auxiliary has been phenomenal. Under her leadership she grew its membership, revitalized its fundraising events, and imple- mented new programs to serve our patients and entire community,” said Jeannette Papadakis, Director of Island Hospital Foundation. We know we’ll feel Betty-Anne’s influence as we go forward with our fundraising projects. Thank you, Betty-Anne, for your hard work! Fall 2019 | Heartbeats | 9
Many cancers can be prevented with lifestyle changes By Nicole Rhodes • Make activities fun with music or a consider not consuming any alcohol. Cutting IH Community Education Intern friend. down can help reduce risk even if the recom- I n Washington State • Limit sitting as much as possible. mendations aren’t met. there will be almost Recommendations: Nutrition & Cancer • No more than two drinks a day for men 40,000 newly diagnosed Studies show that eating well-balanced and one drink per day for women. cancer cases this year. meals that include a variety of fruits and vege- • People with a higher risk of breast can- Over 40% of those cases tables, whole grains, and fish or poultry are cer should consider abstaining from could be linked to lifestyle linked with a lower risk of developing certain alcohol. choices, and could poten- tially have been prevented. cancers such as breast, prostate, and stomach cancer. Eating enough fruits and vegetables is Smoking & Cancer There is a wide range of lifestyle changes that one of the best ways to reduce the risk of get- In the United States, tobacco use is respon- can be made to decrease the risk of develop- ting cancer. Whole grains and a high fiber diet sible for nearly one out of every five deaths. ing cancer over a lifetime. can reduce bowel cancer risk while processed About 80% of lung cancer deaths and 30% of Physical Activity & Cancer and red meats have been shown to increase all cancer deaths are caused by tobacco use. It Physical inactivity can be connected to the risk of colon cancer and should be con- is best to not use tobacco products and to stop about 15-20% of cancers including breast, sumed in limited quantities. if you are currently using. Smoking cessation colon, kidney and pancreas. Conversely, exer- Recommendations: can be combined with the uptake of other cise has been shown to lower the risk of these • Get at least two and a half cups of vege- cancer risk reduction practices such as exer- cancers. If incorporating activity into your tables and fruits each day, or four vege- cise or healthy eating. The Washington State daily routine is difficult, try setting monthly tables and three fruits. Tobacco Quit Line offers a number of cessa- goals, listening to a fun playlist or bring a • Limit red and processed meat. tion resources. They can be reached at friend along. Regardless of activity level, sit- • If consuming red or processed meat, 1-800-QUIT-NOW to access the list of cur- ting for long periods of time increases the bake or broil instead of frying or grilling. rent Washington resources. likelihood of developing breast, colon and • Swap meat-based dishes for vegetable/ Recommendations: other types of cancers. Reduce the amount of legume based dishes. Reduce and quit smoking if currently a sitting in daily routine when possible. • Choose whole grains when possible. smoker. Recommendations: • Breads, pastas, and cereals all come in Ultraviolet Exposure & Cancer: Adults should get at least 130 minutes of whole grain options. moderate activity or 75 minutes of vigorous Skin cancer is the most common type of • Switch white rice for brown rice. activity (preferably a mix of both) each week cancer in the United States. It is important to and children should be participating in at least Alcohol & Cancer stay protected from Ultraviolet (UV) ray one hour of moderate to vigorous activity Alcohol consumption is known to increase exposure. UV rays are strongest between 10 each day. the risk of developing mouth, liver, breast, and a.m. and 4 p.m. so it is best to limit time out- Activity Examples: bowel cancer. When making the decision to side during these hours. Look for new spots • Moderate activity includes walking, drink alcohol, be mindful and moderate with or bumps, overall changes in the skin, rough yoga, and yard work. it. Even regular consumption of alcohol can red patches, or wounds that take longer than • Vigorous activity includes swimming, increase the risk of breast cancer; people with normal to heal. Contact your primary-care running, soccer, and weight training. higher risks of getting breast cancer should provider if you notices any of these changes. Recommendations: • Wear and reapply sunscreen throughout the day, SPF 30 or higher is recom- mended. • Check yourself for signs of skin cancer such as changes in skin, new bumps or spots. Cancer Screening Guidelines Along with lifestyle changes such as healthy eating and exercise, guidelines have been set for recommended ages to start get- ting regular screenings for certain types of cancers. These tests can help detect cancer and prevent it from spreading. It is important to keep up with regular checks based on your age. see CANCER continued on page 22 10 | Heartbeats | Fall 2019
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IH joins Reliance health information exchange T his summer, Island Hospital (IH) joined a new community health-information exchange (HIE) system that connects providers and prevent medical treatment errors or repeated tests. When a provider can see all your information in a single view, he or she can work with you makes accurate health information avail- more efficiently to make decisions about able to authorized healthcare profes- treatment options or necessary referrals. sionals. It allows for secure communi- With Reliance, doctors and health- cation and care coordination care providers can securely share between providers. information with one another when Reliance eHealth Collaborative coordinating care. Those who are (Reliance) is a nonprofit health- using the system can send and information exchange that con- receive medical records and refer- nects communities for improved ral information efficiently. If your healthcare quality and safety, doctor refers you to a specialist reduced administrative costs, and who is also using Reliance, he or better coordination of care among she can quickly send your perti- providers. Reliance recently began nent medical information to that providing HIE services in northwest office when requesting your appoint- Washington, and several local hospi- ment. This often results in more rapid tals, laboratory systems, and clinics are scheduling to get you the care you need participating in the network. faster. At IH, all departments and affiliated clin- A secure and encrypted system, the tech- ics can use the system to communicate with one nology meets federal laws for protecting patient another regarding patient care, increasing collabora- health information, including HIPAA, the Health tion between providers. Information Portability and Accountability Act. It’s designed Reliance allows your primary care provider to access your health to prevent unauthorized use or disclosure of patient information and record, laboratory and other test results in one place. Having access to protects against data breaches. all your medical information at once from multiple providers can help For more information about Reliance, visit www.reliancehie.org. Medication dispensing cabinets integrate with IH EMR system T his summer, Island Hospital (IH) installed several automated medication-dispensing machines that help make managing patient care safer and more efficient. These machines, called the Pyxis MedStation, are locked medication storage cabinets that inte- grate with the hospital’s electronic medical- record system. Each cabinet has multiple locked drawers with a series of individual compartments containing various types of medication in vials, tablets, or other packaging. Pharmacy staff stocks and replenishes the cabinets, managing inventory across the hospital. ▲ The Pyxis medication system installation was a collaborative effort of Island Barcode scanning tracks all medications as the Hospital’s Pharmacy, Facilities and Nursing departments. cabinets are re-filled, making it easier for the pharmacy staff to optimize inventory levels and Medications that have been dispensed and and notes it in the patient’s electronic medical track usage in all departments. administered are updated in both patient and record. At the nursing stations, nurses can open the pharmacy records simultaneously. Automated dispensing cabinets make medi- cabinet only after entering their own user identi- The biggest benefits of using Pyxis automat- cation administration safer for patients. “These fication and password, or fingerprint, into the ed-dispensing cabinets include patient safety, cabinets help ensure that the right patient attached computer workstation. The workstation, increased productivity for nurses and inventory receives the right medication in the right dose,” which provides access to inpatient records, optimization for the Pharmacy Department. says Martin. “It comes down to providing an allows a nurse to choose a patient and confirm “The machines allow nurses to spend more additional level of safety for our patients.” his or her medication. time where it is needed—with their patients,” At IH, 11 dispensing cabinets have been The system unlocks and opens the appropri- says Ken Martin PharmD, Director of Pharmacy installed across various departments, and four ate cabinet drawer and internal compartment to Services at IH. Nurses will spend less time plan- anesthesia systems have been deployed in oper- dispense only the selected medication after con- ning and recording dosages, because the system ating rooms ensuring patient safety during sur- firming the patient and the correct dose. dispenses the correct dosage for each patient geries. 12 | Heartbeats | Fall 2019
Why do I need a speech-language pathologist? M any people are surprised to learn that speech-language pathologists (SLPs) assess, diagnose and treat many different communication disorders. These disorders take many forms, including speech, language, social or cognitive communication, and swallowing disorders in children and adults. Speech disorders, like stuttering, occur when a person has difficulty producing speech sounds correctly and fluently. Language disorders prevent a person from understanding others or inhibit a person from sharing or expressing thoughts, ideas and feelings. Social-communication disorders make it difficult for a person to use verbal and nonverbal communication in appropriate ways. With these disorders, a person might have trouble communicating for social purposes such as greeting a friend or commenting and asking ques- Language-Hearing Association (ASHA). They must regularly partici- tions during conversation. Someone with a social communication dis- pate in continuing education in meeting the standards of the American order may struggle to talk in ways that suit the listener and the setting Speech-Language Hearing Association. SLPs work in many different or to follow rules for conversation and storytelling. research, education, and healthcare settings with varying roles, levels of People with autism spectrum disorder typically have social commu- responsibility, and client populations. nication problems, and sometimes people who have suffered a trau- Island Hospital (IH) employs SLPs that serve outpatients at matic brain injury also develop social communication disorders. Physical, Occupational & Speech Therapy at Island Hospital, and they Cognitive-communication disorders usually happen as a result of a serve inpatients during hospital stays in the Acute Care and Intensive stroke, traumatic brain injury, or dementia, although they can be con- Care Units. IH SLPs have over 30 years combined experience provid- genital. They include difficulty organizing thoughts, paying attention, ing speech-therapy services. remembering, planning, or problem solving. Most clients are referred for an assessment by a physician or an A swallowing disorder may develop after an illness, surgery, stroke, educator. Additionally, IH offers community education classes about or injury, and cause the patient to struggle with feeding and swallow- communication disorders and periodically provides a variety of ing. screening clinics. For more information about classes or screenings, see In any of these situations, visiting with an SLP can be beneficial. the class listings in Heartbeats publications or check the IH website at Your SLP will provide a comprehensive evaluation and develop a plan https://www.islandhospital.org. for treatment that meets your needs. SLPs must earn a master’s or doc- Physical, Occupational & Speech Therapy is located in the lower toral degree and hold a Certificate of Clinical Competence in Speech- level of the Medical Arts Pavilion at 1015 25th Street, Anacortes. For Language Pathology (CCC-SLP) from the American Speech- information, call 360-299-1328. We’re Hiring! Become Part of Our Promise! To apply or view our open positions please visit our website: www.islandhospital.org/careers Fall 2019 | Heartbeats | 13
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